03D2269617 CLIA NUMBER - SEQUOIA BEHAVIORAL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 03D2269617
  • Facility Name: SEQUOIA BEHAVIORAL HEALTH, LLC
  • Facility Address: 5525 S COYOTE CANYON
    MESA, AZ
    ZIP 85212
  • Facility Phone: 928 458-4813
  • Facility Type: Other - BEH HEALTH
  • Facility Type: Waiver
  • Lab Director: ROLAND SEGAL
  • NPI Number: 1861113185
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2269617
LAB Type Other - BEH HEALTH
Facility Name SEQUOIA BEHAVIORAL HEALTH, LLC
Street 5525 S COYOTE CANYON
City MESA
State AZ
ZIP 85212
Phone 928 458-4813
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Other - BEH HEALTH
Lab Director ROLAND SEGAL

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This page was last updated on: 9/29/2025